| |
3942 Maine Ave Baldwin Park CA 91706-4220 | |
(626) 969-7885 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 3942 Maine Ave, Baldwin Park, California |
Authorized Official Name and Position | Corinne J Sanchez (PRESIDENT/CEO) |
Authorized Official Contact | 8188307133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
8902 Woodman Ave Arleta CA 91331-6401 Ph: (818) 830-7280 | 3942 Maine Ave Baldwin Park CA 91706-4220 Ph: (626) 969-7885 |
NPI Number | 1154730828 |
---|---|
Provider Enumeration Date | 08/07/2014 |
Last Update Date | 10/06/2015 |
Medicare PECOS PAC ID | 3476546227 |
---|---|
Medicare Enrollment ID | O20141029002382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154730828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
Amado D. Mandani M.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14338 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-962-7886 Fax: 626-962-4636 | |
Baldwin Park Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14362 Ramona Blvd, Baldwin Park, CA 91706 Phone: 626-337-0676 | |
Carlos Beharie M.d. Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706 Phone: 626-653-0800 Fax: 626-244-0485 |